https://journalsrc.org/index.php/jsrc Society of Student-Run Free Clinics en-US Journal of Student-Run Clinics 2474-9354 https://journalsrc.org/index.php/jsrc/article/view/501 <p><strong>Background</strong>: Hypertension is the world’s leading cause of cardiovascular disease and premature death. In the United States, non-White adults have higher rates of hypertension, yet lower rates of treatment. Furthermore, underinsured and uninsured populations experience unique barriers, receive fewer and lower quality healthcare services, and are the focus of less research; however, student-run free clinics (SRFCs) help address this gap and treat conditions like hypertension. This study assessed patient-level factors that may influence prescribing patterns for hypertension at SRFCs.</p> <p><strong>Methods</strong>: A chart review was conducted on patients diagnosed with hypertension (N=799) seen from January 2013-February 2020 inclusive at one SRFC network. The outcome variable was receipt of antihypertensive medication. A logistic regression analysis assessed the association between antihypertensive prescribing and patient-level variables (age, comorbidities, race, sex, education, language, housing, insurance status, transportation, employment status).</p> <p><strong>Results</strong>: After controlling for other factors, those with two or more comorbidities were more likely to be prescribed an antihypertensive than those with no comorbidities (odds ratio [OR] 1.31, 95% Confidence interval [CI] 1.04-1.65, p=0.021). When compared to non-Hispanic White patients, Hispanic patients were around 40% less likely to be prescribed an antihypertensive (OR 0.58, 95% CI 0.36-0.92, p=0.03). Insured patients were 60% less likely to be prescribed an antihypertensive than uninsured patients (OR 0.40, 95% CI 0.22-0.75, p=0.004).</p> <p><strong>Conclusions</strong>: This study found that, at an SRFC network, differences in antihypertensive prescribing exist by comorbidities, race, and insurance status, indicating patient-level hypertension treatment disparities in this population. This study suggests the need for research into how patient-level factors influence physicians’ treatment decisions and how educating SRFC patients about medication assistance programs can mitigate insurance-related disparities.</p> Leah Barnes Avaneesh Kunta Taylor Ham Oliver Nguyen Anshul Daga Kartik Motwani David Feller Copyright (c) 2025 Leah Barnes, Avaneesh Kunta, Taylor Ham, Oliver Nguyen, Anshul Daga, Kartik Motwani, David Feller https://creativecommons.org/licenses/by/4.0 2025-03-18 2025-03-18 11 1 10.59586/jsrc.v11i1.501 https://journalsrc.org/index.php/jsrc/article/view/445 <p>Background: The Bishop Dudley Hospitality House (BDHH) is a non-profit organization founded in 2015 that provides support services, resources, and shelter to the poor and homeless community members of Sioux Falls, South Dakota. Recognizing that physical access to healthcare is a major barrier for many individuals that utilize the BDHH, University of South Dakota Sanford School of Medicine student leaders at the Coyote Clinic instituted a biweekly satellite clinic in the on-site BDHH clinic room.</p> <p>Methods: In this study, we first describe the establishment of the collaboration between a student-run free clinic and a community homeless shelter. Additionally, to demonstrate the impact of such an outreach and subsequent referral program, we have collected and analyzed data regarding the demographics, insurance status, and access to a primary care provider of the patients, their chief complaints, acuity level, referrals, and whether they attended their follow-up appointment.&nbsp;&nbsp;</p> <p>Results: Over the course of February 1, 2022 through June 30, 2023, a total of 80 clinical encounters and 57 patients were seen at the Coyote Clinic BDH Satellite Clinic. A total of 29 referrals to the main Coyote Clinic downtown were made and one patient was sent to the Emergency Department directly from BDH. There were 9 clinic appointments for 7 patients that were attended. There were 12 clinic appointments for 11 patients that were no shows.&nbsp;</p> <p>Conclusions: The BDHH satellite clinic has demonstrated the importance of bringing care to high risk populations that lack access or have barriers to obtaining care. Our hope is this model can be adopted by other student-run free clinics seeking to serve similar patient populations.</p> Bailee Lichter Riley T. Paulsen Alaire Buchholz Jamuna Buchanan Garrett Quinn Annika van Oosbree Copyright (c) 2025 Bailee Lichter, Riley T. Paulsen, Alaire Buchholz, Jamuna Buchanan, Garrett Quinn, Annika van Oosbree https://creativecommons.org/licenses/by/4.0 2025-03-22 2025-03-22 11 1 10.59586/jsrc.v11i1.445